Pakistan is located in South Asia encircled by Afghanistan, India, China, the Arabian Sea, and Iran. Pakistan is the sixth most populous country in the world, with about 216 million people, and by 2050 it will become the fourth largest populated country in the world. Early-onset scoliosis (EOS) is defined as a spinal deformity occurring before 10 years of age. Untreated EOS or early spinal fusion resulting in a short spine is associated with increased mortality and cardiopulmonary compromise. Various local studies showed screening tests and protocols, but until now, no available research on school screening exists for scoliosis. Most people believe that this disease is from God as a response to their sins, or God wants to check their piousness and patience by giving this trouble to their children or siblings. Illiteracy and ignorance of not recognising the future grave prognosis and fear of complications of surgery are also factors. Fear of becoming a paraplegic as told by practitioners.